Physician
Shelbourne & Associates Oral and Facial Surgery
Shelbourne & Associates Oral and Facial Surgery was paid $270K by Medicaid between Mar 2018 and Nov 2024, across 9 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 49% of everything it billed.
33Billing provider infoSHELBOURNE & ASSOCIATES ORAL AND FACIAL SURGERY
CHARLESTON, SC 29403
CHARLESTON, SC 29403
33aNPI1730602319assigned 07/25/2017
33bProvider typeOral & Maxillofacial Surgery (D.M.D.)
28Total paid$270K
24GClaims3,061
24DCodes billed9
24AFirst – last monthMar 2018 – Nov 2024
Compared with peers
Next to other Oral & Maxillofacial Surgery (D.M.D.) providers in South Carolina
Rank by total paid#3 of 9
Median peer was paid$27K
This provider vs. median10×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 918 | $93K | |
| 2019 | 774 | $65K | |
| 2020 | 546 | $44K | |
| 2021 | 443 | $36K | |
| 2022 | 155 | $15K | |
| 2023 | 29 | $2K | |
| 2024incomplete | 196 | $16K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 49% | 1,081 | 400 | $132K |
| D9222 | 14% | 390 | 390 | $37K | |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 13% | 391 | 390 | $35K |
| D0140 | Limited oral evaluation - problem focused | 11% | 828 | 827 | $31K |
| D7240 | Removal of impacted tooth - completely bony | 5.3% | 51 | 14 | $14K |
| D9310 | 3.9% | 166 | 166 | $10K | |
| D9239 | 2.0% | 73 | 73 | $5K | |
| D9243 | 1.9% | 69 | 69 | $5K | |
| D0330 | Panoramic radiographic image | <1% | 12 | 12 | $594.28 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialSHELBOURNE, COURTNEY (OWNER)